Computer Loaner Request

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Families who currently have a child attending Kapolei Middle School, WHO DO NOT HAVE ANY OUTSTANDING OBLIGATIONS and who do not have any computers at home may request for a school issued device to take home. This device is strictly for your child to do school work at home. Families must be in good standing with school obligations and will be held financially responsible for any damages to school issued devices. We have a limited number of devices to issue for home use but will do our best with the limited resources we have.

Email *

Students Last Name *

Students First Name *

Student ID # *

Advisory Teacher *

Parent(Guardian) Last Name *

Parent(Guardian) First Name
*

Home Address *

Phone # *

Parents Email Address (do not list student email) *

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